OrganizationActive
Victory Medicine PC
NPI 1730331141 · Neuromuscular Medicine (Psychiatry & Neurology) Physician · Staten Island, NY
Provider details
- NPI number
- 1730331141
- Entity type
- Organization
- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Depika Bajaj, Director(917) 815-2299
- License
- 148054 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
25 Victory Blvd
2nd Floor
Staten Island, NY 10301-2905
Phone: (718) 815-7246
Fax: (516) 706-1085
Approximate (ZIP-level) locationGet directions
Mailing address
25 Victory Blvd
Staten Island, NY 10301-2905
Registry dates
- Enumerated
- 2008-10-16
- Last updated
- 2008-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.